Cho HB, Kim SH, Yoo JH, Gong HY, Seo YH, Park SY, Chung JW, Kim MG, Chung JH, Kim SH. Malfunction of a central venous multilumen access catheter caused by kinking: A case report.
Medicine (Baltimore) 2018;
97:e11622. [PMID:
30045303 PMCID:
PMC6078719 DOI:
10.1097/md.0000000000011622]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE
A multilumen access catheter (MAC) is a large-bore catheter that prevents kinking or collapsing. Misplacement is a frequently reported complication.
PATIENT CONCERNS
A 59-year-old man who was diagnosed with a hemoperitoneum due to a liver laceration after a fall.
DIAGNOSIS
After catheterization, we were able to aspirate blood through the 9 Fr, but not the 12-gauge line. Thus, we assumed that the catheter was misplaced. Nevertheless, ultrasonographic findings did not reveal the reason for the malfunction. We found kinking in the distal part of the catheter after removing it.
INTERVENTION
The MAC was removed soon after stopping the active bleeding.
OUTCOMES
A hemihepatectomy was successfully performed, and the patient was transferred to the intensive care unit.
LESSONS
Anesthesiologists should consider kinking of large-bore catheters, including MACs.
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